Individual
MR. KURT JON MUSKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRIL CHT
Contact information
Practice address
5900 N ILLINOIS, STE 9, FAIRVIEW HEIGHTS, IL 62208
(314) 621-1416
(618) 624-9330
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 651-0444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006024
IL
Other
Enumeration date
08/29/2006
Last updated
01/31/2019
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